Renal Question #44

Question

A client calls the nurse and complains of urgency and dysuria after four days of taking a friend’s antibiotic. The nurse instructs the client to come to the office and explains the reason in which statement?

Answers

  1. “Antibiotics are specific for the type of bacteria and a urine sample is needed to help the provider prescribe the correct medication. Taking others’ antibiotics is not a safe practice.”
    • Rationale:
  2. “Now you have ruined any chance for a correct culture report.”
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  3. “Keep taking the medication as it may take awhile to kill the bacteria.”
    • Rationale:
  4. “Unless your friend’s prescription was Bactrim, your condition will not improve.”
    • Rationale:

Overview

Explanation

It is not a safe practice to take another person’s antibiotics. The client needed to have a urinalysis and culture and sensitivity performed to determine type of organism and which drug is effective. Scolding the client by telling them they have ruined the chance for culture report is demeaning and not helpful. The client should not keep taking the friend’s antibiotic as it probably is not effective against the type of organism. Trimethoprim/sulfamethoxazole (Bactrim, Septra) are sometimes effective; however, other antibiotics may be more effective depending on the sensitivity of the antibiotic with the organism causing the infection.

Learning Outcomes

Test Taking Tip

Video Rationale